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NPI Code Detail

MEDICARE: DELAWARE VALLEY COMMUNITY HEALTH, INC.

MEDICARE: DELAWARE VALLEY COMMUNITY HEALTH, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811202153
Entity Type Code : Organization
Provider Name (Legal Business Name) : DELAWARE VALLEY COMMUNITY HEALTH, INC.
Provider Business Mailing Address
First Line : 1412-22 FAIRMOUNT AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19130-2908
Country : US
Telephone Number : 215-684-5344
Fax Number : 215-232-4093
Provider Business Practice Location Address
First Line : 5901 MARKET ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19139-3117
Country : US
Telephone Number : 215-222-2466
Fax Number : 215-222-2462
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MS. BRENDA ROBLES COOKE JR.
Credential :
Telephone Number : 215-684-5344
Provider Enumeration Date : 08/11/2010
Last Update Date : 02/10/2026

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